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Utilization Coordinator (Entry Level) - 162535 in Phoenix, AZ at Preferred Homecare | LifeCare Solutions

Date Posted: 9/10/2018

Job Snapshot

  • Employee Type:
  • Location:
    Phoenix, AZ
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:

Job Description

Utilization Coordinator
Position Summary: The Utilization Management Coordinator reviews monthly spreadsheet data for utilization of services for all capitation accounts, including patient eligibility and equipment audits. 
Essential Duties and Responsibilities include the following.  Other duties may be assigned. 
  • Verifies current insurance eligibility/ verifies patient demographics are complete and updated
  • Identifies payer changes and works with branches / billing to resolve. 
  • Verifies equipment usage and generate pickups of unused equipment/ work with branch to recover equipment.
  • Generates paperwork necessary for billing, distribution of supplies and equipment and recurring revenue for system entry and billing.
  • Logs clinical notes, copy and forward pertinent information for reimbursement documents to Regional Reimbursement Center.
  • Generates necessary reports and communicate authorization expirations with appropriate department.
  • High School diploma or GED equivalency
  • Must have excellent organizational, communication, and interpersonal skills.
  • One year of DME/home health experience preferred.
  • Knowledge in excel spreadsheets preferred.
Required Skills:
  • Computer, Microsoft Office, Excel, Outlook knowledge.
  • Strong phone and customer service skills.
  • Strong Multi-tasking.